MLR

Blue Shield | Annual Medical Loss Ratio Employer Survey Due 03/31/25

The Blue Shield of California Annual Medical Loss Ratio (MLR) Employer Survey is due March 31, 2025.

Important Deadlines Coming Up for Employer Group Health Plans

Important Deadlines Coming Up for Employer Group Health Plans There are a few deadlines to remember and prepare for coming up before the end of 2024.December 23, 2024 New Deadline - HIPAA Privacy Rule...

Medical Loss Ratio (MLR) Results: 2023 Plan Year

Employers who sponsor a fully insured group health plan may be receiving a Medical Loss Ratio (MLR) rebate from their insurers.

Health Net Has Finalized its 2023 Medical Loss Ratio (MLR) Results

Health Net met or exceeded the MLR targets for California, subscribers and employer groups will not receive 2023 plan year rebates.

UnitedHealthcare/Oxford Health Plans MLR Report (2024)

UnitedHealthcare and Oxford Health Plans have released their 2024 Medical Loss Ratio Final Payout Report.

Amwins Connect - September 2024 Question of the Month

Amwins Connect – September 2024 Question of the MonthQuestionIf an employer/plan sponsor received a Medical Loss Ratio (MLR) rebate from the carrier, does the employer/plan sponsor have to distribute ...

Compliance News Week Ending August 30, 2024

Compliance News Week Ending August 30, 2024 In this Article: Medical Loss Ratio (MLR) – That Time of Year Determining Creditable Status of Prescription Drug Coverage Medical Loss Ratio – That Time of...

Medical Loss Ratio (MLR) Rebates Are Coming

Employers sponsoring a fully insured group health plan may soon be getting a check from their insurer!

Medical Loss Ratio (MLR) Rebates Are Coming

Employers sponsoring a fully insured group health plan may soon be getting a check from their insurer!

Kaiser Permanente® 2023 Medical Loss Ratio Results

Kaiser Permanente® 2023 Medical Loss Ratio results have been released. Learn more.

Aetna 2023 MLR Experience Year Rebate Pools

Aetna, Innovation Health, Banner|Aetna, and Texas Health|Aetna plans are scheduled to receive rebates under the Health Care Reform Minimum Medical Loss Ratio (MLR) requirements. Rebates will be mailed...

Employer Compliance Tip - Handling Level Funded Plan Surplus Returns

Employer Compliance Tip - Handling Level Funded Plan Surplus Returns March 2024 Question How would an employer handle surplus returns from a Level Funded plan? Answer It is recommend to...